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李某,女,26岁。日中发烧20余日,经西药治疗无效,于1986年5月21日午时求诊。患者2个月前曾患流行性出血热,用中西药治疗月余痊愈。近20余日,每天上午11时许全身不适,体温渐升,至中午12时半达390℃以上,持续半小时渐退,下午3时降至正常,同时伴心烦口苦咽干;观其面色潮红,舌红苔白;扪其胸腹灼热,四肢欠温,脉弦稍数,测体温39.2℃;观其近日理化检查均未见明显异常。拟四逆散和小柴胡汤合方加减:柴胡12克,黄芩10克,半夏10克,枳壳10克,白芍12克,党参12克,青蒿10克,甘草6克,生姜3克,大枣5克。水煎日一剂,嘱其于上午10时许服下。服3剂,
Lee, female, 26 years old. After more than 20 days of fever in Japan, he was ineffective after treatment with western medicine. He sought medical consultation at noon on May 21, 1986. The patient suffered from epidemic hemorrhagic fever 2 months ago and he was cured with Chinese and Western medicine for more than one month. Nearly 20 days, at 11 o’clock in the morning, my body discomforted and my body temperature gradually rose until it reached 390 o C or above at 12:30 in the afternoon. It continued to recede for half an hour and returned to normal at 3 o’clock in the afternoon. Facial flushing, red tongue, white coating; burning his chest and abdomen burning, lack of limb temperature, pulse string a few, measuring body temperature 39.2 °C; view of its recent physical and chemical examination were no obvious abnormalities. Modified Sinisan Powder and Xiaochaihu Decoction Combination: 12 grams of Bupleurum, 10 grams of Radix Astragali, 10 grams of Pinellia, 10 grams of Citrus aurantium, 12 grams of Angelica, 12 grams of Codonopsis, 10 grams of Artemisia annua L., 6 grams of Glycyrrhiza, Ginger 3 Grams, jujube 5 grams. A day of decoction, take it at 10 o’clock in the morning. Take 3 doses,